Active NPI
Nivia Esther Vazquez, MD
- Pediatrics Physician
- Homestead, FL
National Provider Identifier
1063453124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME64580
- Practice address
- 925 NE 30TH Ter, Ste 202
Homestead, FL 33033-7614 - Phone
- (305) 246-1030
- Fax
- (305) 246-2387
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME64580 | FL | Primary |
Addresses
Primary practice location
925 NE 30TH Ter, Ste 202
Homestead, FL 33033-7614
Mailing address
925 NE 30TH Ter, Ste 202
Homestead, FL 33033-7614
Phone (305) 246-1030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23935Z | Other | FL | PTAN MEDICARE PART B PROGRAM |
| 374045500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nvazquez@pedinet.direct.emds.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME64580 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nivia E. Vazquez, M.D.,P.a. | Pediatrics | Current | Accepting new patients |
Locations
925 NE 30th Ter
Ste 202
Homestead, FL 33033
Phone (305) 246-1030
Interoperability endpoints
- nvazquez@pedinet.direct.emds.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Homestead, FL
- NPI 1194944611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1063453124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 NE 30TH TER, STE 202",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337614",
"telephone_number": "305-246-1030",
"fax_number": "305-246-2387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 NE 30TH TER, STE 202",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337614",
"telephone_number": "305-246-1030",
"fax_number": "305-246-2387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "NIVIA",
"middle_name": "ESTHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME64580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN MEDICARE PART B PROGRAM",
"identifier": "23935Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374045500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nvazquez@pedinet.direct.emds.com",
"affiliation": "N",
"address_1": "925 NE 30TH TER, STE 202",
"city": "HOMESTEAD",
"state": "FL",
"country_code": "US",
"postal_code": "330337614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.